Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Eileen Patrick

Individual provider Physical Therapy Assistant · NPI 1770454696

Tara Eileen Patrick is a Physical Therapy Assistant in Costa Mesa, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1252 Conway Ave
Costa Mesa, CA 92626-2747
Phone: (703) 509-7574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4560 Se International Way, Milwaukie, OR 97222-4628 — (703) 509-7574

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 53281 (CA)

Record details

NPI number1770454696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 15, 2025
Mailing address1252 Conway Ave, Costa Mesa, CA 92626-2747

Other providers in Costa Mesa